Top 102 Claims director Jobs in San Francisco, Ca

Clinical Director
Family Paths, Inc. —Oakland, CA
- $115,000 - $125,000 a year
- Full-time
- Hybrid work
- Background check
- LMFT
- Spanish
- Continuing education credits
- Health savings account
Quick Apply
5d
Associate Director, Emerging Channel Insights & Analytics -Market Access & Patient Services
AbbVie —San Francisco, CA
- $141,500 - $268,500 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Bachelor's degree
- Paid holidays
- Health insurance
Director, Growth Strategy
SquareTrade —San Francisco, CA
- $170,000 - $210,000 a year
- Full-time
- Hybrid work
- 7 years
- Research
- Office
- Health savings account
- Dental insurance
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Director, Asset Management
Mission Housing Development Corporation —San Francisco, CA
- $175,000 - $190,000 a year
- Full-time
- 7 years
- Microsoft Outlook
- Construction site
- Health insurance
- Dental insurance
Quick Apply
Director of Revenue Cycle Management (Healthcare)
Marin Community Clinics —Novato, CA
- $152,070 - $178,471 a year
- Full-time
- Hybrid work
- Spanish
- Microsoft Outlook
- 5 years
- Mileage reimbursement
- AD&D insurance
Quick Apply
Director of Data Strategy
Berkshire Hathaway Homestate Companies —San Francisco Bay Area, CA
- $240,370 - $260,330 a year
- Hybrid work
- Computer Science
- Office
- Master's degree
- AD&D insurance
- Paid holidays
Quick Apply
Global Marketing Director, CathWorks
Medtronic —San Francisco, CA
- $215,200 - $322,800 a year
- Full-time
- Remote
- 7 years
- Bachelor's degree
- Travel
- Health savings account
- Employee stock purchase plan
Director, Pharmacy Operations
Blue Shield of California —Oakland, CA
- $160,160 - $240,460 a year
- Full-time
- Hybrid work
- Background check
- 6 years
- Pass drug screening
- Work from home
Managing Director, Advisory Leadership Team
Focus Partners Wealth —San Francisco, CA
- $275,000 - $350,000 a year
- Hybrid work
- CPA
- 11+ years
- Office
- Health insurance
- Dental insurance
12d
Director, Product Development, Beauty
Gap Inc. —San Francisco, CA
- $160,800 - $209,100 a year
- Full-time
- Senior level
- Leadership
- 10 years
- Store discount
- Employee stock purchase plan
Director of Security
Sequoia Living —San Francisco, CA
- $96,600 - $113,500 a year
- Full-time
- Schematics
- 5 years
- Residential
- Health insurance
- Dental insurance
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Product Counsel (Director)
Whatnot —San Francisco, CA
- $335,000 - $395,000 a year
- Full-time
- Hybrid work
- 11+ years
- Training & development
- Senior level
- Paid parental leave
- Health insurance
Director, Healthcare Compliance
Denali Therapeutics —South San Francisco, CA
- $251,000 - $309,667 a year
- 8 hour shift
- Hybrid work
- 5 years
- HIPAA
- Office
- Employee stock purchase plan
- Health insurance
Risk Adjustment Director
Central California Alliance for Health —San Francisco Bay Area, CA
- $200,000 - $250,000 a year
- Email
- Hybrid work
- Finance
- Master's degree
- SQL
- Wellness program
- Paid holidays
Quick Apply
Assistant Director of Human Resources
Marriott International, Inc —Half Moon Bay, CA
- $116,000 - $151,000 a year
- Full-time
- Pass drug screening
- Mid-level
- High school diploma or GED
Senior Director, Global Privacy & Data Protection
Trulioo —San Francisco, CA
- $255,000 - $290,000 a year
- Full-time
- Remote
- Public speaking
- 11+ years
- Contracts
- Health insurance
- Dental insurance
8d
Associate Director, Insights & Analytics
Kardigan —San Francisco, CA
- $174,000 - $268,000 a year
- Office
- 8 years
- Analysis skills
Managing Director, Expert Services
Kroll —San Francisco, CA
- $200,000 - $500,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
11d
Senior Director - Voluntary Benefits Consultant
WTW —San Francisco, CA
- $160,000 - $200,000 a year
- Full-time
- 6 years
- Bachelor's degree
- Travel
- Paid jury duty
- Health savings account
Director/Vice President, Product Management - Villa Sport
Villa Sport —San Rafael, CA
- $176,100 - $200,000 a year
- Email
- Remote
- Hospitality
- Product management
- Agile
- 401(k) matching
Quick Apply

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Clinical Director

Family Paths, Inc. -
Oakland, CA

Quick Apply

Job Details

Full-time
$115,000 - $125,000 a year
5 days ago

Benefits

Continuing education credits
Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Professional development assistance
Flexible schedule

Qualifications

Contract management
Staff supervision
Program management
Managing teams of therapists
Team supervision
Managed care organization experience
Child welfare law
Social service program staff supervision
Trauma-sensitive environment
Contract management experience in healthcare
Team development
Evidence-based practice
Practicing as a therapist supervisor
Health insurance knowledge
Contracts
Working with individuals with mental health conditions
Medicaid regulations
Medicaid
Community relationship building
Workforce management
Clinical documentation standards
Senior leadership

Full Job Description

Clinical Director

Organization: Family Paths, Inc. (www.familypaths.org)

Department: Mental Health Services
Reports To: Executive Director
FLSA Status: Exempt | Full-Time

Position Summary

The Clinical Director provides strategic and operational leadership for Family Paths' clinical programs, ensuring the delivery of high-quality, culturally responsive mental health services to children, youth, and families in Alameda County. This position is responsible for clinical integrity, regulatory compliance, and program outcomes across services funded through Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Alameda Alliance for Health, CalWORKS mental health services and the Child Abuse Prevention, Intervention, and Treatment (CAPIT) program.

Reporting directly to the Executive Director, the Clinical Director oversees three Program Managers/Clinical Supervisors and Quality Assurance, providing leadership that bridges clinical excellence, compliance, and organizational mission.

This is a hybrid position with 3 days in-office work required. This position requires a demonstration of and commitment to Family Paths’ mission, vision, and values, including supporting a diverse, equitable, and inclusive workplace that utilizes trauma-informed practices.

Essential Duties and Responsibilities

Clinical Leadership & Program Oversight

Provide overall clinical direction and leadership for all mental health programs, ensuring services are trauma-informed, evidence-based, and culturally and linguistically responsive
Oversee the design, implementation, and evaluation of clinical programs across EPSDT, Alameda Alliance, CalWORKS mental health services, and CAPIT funding streams
Establish and maintain clinical standards, treatment protocols, and best practice frameworks across all programs
Ensure appropriate clinical service delivery models are in place for the populations served, including children and youth with Serious Emotional Disturbance (SED) and families involved in the child welfare system
Collaborate with the Executive Director on program development, strategic planning, and organizational growth initiatives
Collaborates with Program Managers to identify and meet organizational and program needs, priorities and service gaps and meet contract goals.
Provides clinical supervision/consultation to licensed and unlicensed staff/interns as needed
Develop and oversee consistent metrics for tracking clinical service outcomes.
Provides consultation to managers on legal/ethical issues as it relates to clinical work, and seeks outside legal consultation when necessary

Supervision & Staff Development

Provide direct supervision and leadership to three Program Managers/Clinical Supervisors, supporting their clinical, supervisory, and operational effectiveness
Oversee supervision structures and procedures to ensure all clinical staff receive appropriate licensure supervision in compliance with BBS requirements
Foster a culture of curiosity, relational leadership, continuous learning, and clinical excellence across all program teams
Partners with HR to participate in the recruitment, hiring, onboarding, and performance evaluation of clinical leadership staff, including regularly updating Job Descriptions as needed
Identify and address training and professional development needs across the clinical workforce to meet the requirements of the agency’s contractual obligations, funders and CEU regulations

Regulatory Compliance & Quality Assurance

Partner with QA to develop, implement, and monitor quality assurance systems that meet the requirements of EPSDT/Medi-Cal Specialty Mental Health Services (SMHS), Alameda Alliance for Health, and CAPIT
Ensure compliance with all contract requirements related to clinical services, including documentation standards, authorization processes, and Utilization Management protocols
Oversee compliance with California Department of Health Care Services (DHCS) regulations governing EPSDT and Medi-Cal billing and documentation
Ensure timely and accurate completion of clinical documentation, including assessments, treatment plans, progress notes, and discharge summaries, in accordance with all ethical and funder requirements
Lead preparation for and response to program audits, chart reviews, and site visits conducted by ACBHCS, DHCS, Alameda Alliance, or county CAPIT administrators
Monitor and respond to Quality Improvement (QI) data, client outcome measures, and utilization reports in partnership with QA

Funding Compliance & Contract Management

Maintain current and comprehensive knowledge of EPSDT eligibility, covered services, authorization requirements, and billing regulations under California's Medi-Cal Specialty Mental Health system
Ensure clinical services delivered under Alameda Alliance contracts meet managed care requirements, including medical necessity criteria, authorization workflows, and timely access standards
Collaborate with Clinical Managers and Director of Finance to ensure that client service goals are met while maintaining high quality of care and clinician well-being.
Oversee CAPIT program compliance, including adherence to child abuse prevention mandates, required service models, and county reporting requirements
Collaborate with finance and operations staff to support accurate and timely billing, claims submission, and revenue cycle management for clinical services
Participate in contract renewals, program reporting, and funder relationships as the clinical lead

Organizational Leadership

Serve as a member of the senior leadership team, contributing to organizational strategy, policy development, and cross-functional decision-making
Represent the clinical division in community partnerships, coalition meetings, and stakeholder engagement activities
Collaborate with the Director of HR on workforce planning, employee relations matters involving clinical staff, and compliance with applicable employment and licensing requirements
Support a positive, mission-driven organizational culture that centers equity, staff wellbeing, and community impact

Qualifications

Required

Master's degree in Social Work, Psychology, Marriage and Family Therapy, or a related clinical field
Active, unrestricted California clinical license (LCSW, LMFT, LPCC or Licensed Clinical Psychologist) required
Minimum of 5 years of post-licensure clinical experience, with at least 3 years in a clinical leadership or supervisory role
Demonstrated experience working within the EPSDT/Medi-Cal Specialty Mental Health system, including knowledge of Alameda County Behavioral Health Care Services contracts and requirements
Experience with managed care contracting, including Alameda Alliance for Health or comparable Medi-Cal managed care plan
Knowledge of CAPIT or child welfare-funded programs and the populations they serve
Proven ability to supervise and develop clinical supervisors and program managers
Strong understanding of trauma-informed care, evidence-based practices for children and families, and culturally responsive service delivery
Excellent written and verbal communication skills, including experience with regulatory reporting and clinical documentation standards

Preferred

Experience in a multi-program nonprofit community mental health setting
Bilingual/bicultural skills strongly valued; Spanish, Cantonese, Mandarin, or other languages reflective of Alameda County's communities preferred
Familiarity with electronic health record (EHR) systems used in Medi-Cal mental health settings
Experience leading or preparing for DHCS, ACBHD, or managed care audits

Compensation & Benefits

Salary Range: $115,000 – $125,000 annually, commensurate with experience and qualifications

Family Paths is an Equal Opportunity Employer committed to building a diverse, inclusive workforce that reflects the communities we serve. We encourage applications from candidates of all backgrounds, including those with lived experience relevant to the populations we serve.

Pay: $115,000.00 - $125,000.00 per year

Benefits:

401(k)
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Paid time off
Professional development assistance

Work Location: Hybrid remote in Oakland, CA 94612

Quick Apply

Refine Your Search

claims director jobs in san francisco, ca

Clinical Director

Associate Director, Emerging Channel Insights & Analytics -Market Access & Patient Services

Director, Growth Strategy

Director, Asset Management

Director of Revenue Cycle Management (Healthcare)

Director of Data Strategy

Global Marketing Director, CathWorks

Director, Pharmacy Operations

Managing Director, Advisory Leadership Team

Director, Product Development, Beauty

Director of Security

Product Counsel (Director)

Director, Healthcare Compliance

Risk Adjustment Director

Assistant Director of Human Resources

Senior Director, Global Privacy & Data Protection

Associate Director, Insights & Analytics

Managing Director, Expert Services

Senior Director - Voluntary Benefits Consultant

Director/Vice President, Product Management - Villa Sport

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